"The single biggest problem with communication is the illusion that it has taken place." - George Bernard Shaw
What more can you say?
"Listen to understand. Understand to respond."
I think most of the people start thinking about how to respond as soon as you start saying something. That's why they do not get even a fraction of what you said. And some are of course hopeless cases of multitasking victims.
Communicate in very small bits. Wait to make sure what you communicated has been understood and proceed only afterwards.
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